Organization
GENMAR HOMES, INC.
Active
Other names
Thoreau House I
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE HARDIN M.D. (PRESIDENT/CEO)
(310) 739-3585
Entity
Organization
Contact information
Practice address
1942 THOREAU ST, LOS ANGELES, CA 90047-4725
(323) 755-7105
(323) 755-7106
Mailing address
14901 CONDON AVE, LAWNDALE, CA 90260-1216
(323) 755-7105
(323) 755-7106
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
00000
CA
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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